化疗和精子的体质突变负担
Shany Picciotto1, Camilo Arenas-Gallo1, Amos Toren2
1Department of Urology, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, United States of America.
JCI insight
|May 13, 2025
概括
化疗增加了正常细胞的DNA突变负担,包括精子和血液. 这一发现对考虑精子储存和未来怀孕的癌症患者有影响.
科学领域:
- 遗传学 遗传学 是一个
- 在瘤学瘤学.
- 生殖健康 生殖健康
背景情况:
- 众所周知,化疗剂可诱导癌症治疗的DNA损伤.
- 化疗对正常细胞,特别是精子中的突变发生的作用仍然在很大程度上未被描述.
研究的目的:
- 研究各种化疗对包括精子在内的正常人体组织突变负担的影响.
- 评估癌症治疗对个人及其后代的潜在长期遗传后果.
主要方法:
- 应用高准确度双重测序来分析来自36名化疗暴露个体和32名对照组的94个样本中的突变负担.
- 通过对人类多种组织 (精子,唾液,血液,肝脏) 的验证,以及用西斯普拉丁治疗的小鼠模型.
主要成果:
- 与对照组相比,在接受化疗的男性的精子样本中观察到较高的突变负担,一些人显示的突变负担增加了10倍以上.
- 在暴露于化疗对象的唾液,血液和肝脏组织中也检测到了增加的突变负担.
- 在小鼠中,西斯普拉丁治疗导致精子,肝脏和造血原生细胞的突变负担增加.
结论:
- 化疗与DNA突变负担在各种正常组织中显著增加有关.
- 这些发现突出了接受化疗的癌症患者的潜在风险,特别是生殖健康和遗传咨询.
- 这项研究强调了在为患者提供关于精子储存和未来生殖选择的咨询时考虑突变积累的重要性.
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